Organization Active NPI

Dancing Sun, LTD

  • Community/Behavioral Health Agency
  • Kalispell, MT
National Provider Identifier
1598085136
Registry record updated Jun 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCS 757 Issued in MT
Legal business name
DANCING SUN, LTD
Practice address
38 E Washington St
#3
Kalispell, MT 59901-3975
Phone
(406) 260-2281
Fax
(206) 350-5470
NPI assigned
Jun 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joni Mamica, MSWNPI 1457405201
Title
LCSW
Phone
(406) 260-2281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCS 757 MT Primary

Addresses

Primary practice location

38 E Washington St
#3
Kalispell, MT 59901-3975

Mailing address

PO Box 8955
Kalispell, MT 59904-1955
Phone (406) 260-2281

Other names 1

  • Joni Mamica Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110614000482 MT Part B Supplier - Clinic/Group Practice 6406033760 Receives reassigned benefits from 1 practitioner
Practice locations: Kalispell, MT

National Provider Directory

National Provider Directory

Locations

40 2nd St E
Ste 207
Kalispell, MT 59901
Phone (406) 260-2281

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275782400000",
    "number": "1598085136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8955",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599041955",
            "telephone_number": "406-260-2281",
            "fax_number": "206-350-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 E WASHINGTON ST",
            "address_2": "#3",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013975",
            "telephone_number": "406-260-2281",
            "fax_number": "206-350-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANCING SUN, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-06",
        "last_updated": "2010-06-06",
        "status": "A",
        "authorized_official_last_name": "MAMICA",
        "authorized_official_first_name": "JONI",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "406-260-2281",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MT",
            "license": "LCS 757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joni Mamica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.